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Pharmacy Residency Program: Health-System Pharmacy Administration and Leadership/ M.B.A.


Program Type: ASHP accredited two-year residency (PGY1 and PGY2)
ASHP Match Number: 130018

Purpose: This specialty residency training program in pharmacy administration and leadership is defined as an organized, directed postgraduate program of practical experience in pharmacy practice leadership. The residency is designed to develop expert skills and competencies in pharmacy practice administration and leadership.

Program Overview: The two-year residency is combined with a Master of Business Administration (M.B.A) with an emphasis in Health Care Management (54 credit hours) or a Master of Science (M.S.) in Health Care Management (36 credits hours) from The Johns Hopkins University Carey Business School. The primary objective of the program is to prepare pharmacists to assume leadership positions in hospitals and integrated health care systems. Graduates of the program will have competencies in assessing and resolving the health needs of the public as it relates to the safe and effective use of medication and will be expected to assume a leadership role in pharmacy practice. Participants will gain the business tools and knowledge to understand and analyze the changing nature of today’s complex medical delivery systems, plus the resource management skills and savvy to anticipate and respond to those changes.

The Health-System Pharmacy Administration and Leadership program is designed to offer a strong foundation for residents including robust PGY1 clinical experiences, as well as diverse operational, clinical, and financial management rotations throughout the health system of Johns Hopkins Medicine including The Johns Hopkins Hospital (JHH), Johns Hopkins Bayview Medical Center (JHBMC), Johns Hopkins Home Care Group (JHCCG), Howard County Medical Center, (HCGH), Sibley Memorial Hospital (SMH), and Suburban Hospital (SH).

Training Experience:

  • Broad-based academic training in quality improvement, healthcare operations, medical economics, finance, accounting, negotiation, marketing, strategic planning, and management theory within complex medical-delivery systems
  • Interdisciplinary problem solving and decision-making skills
  • Organization of integrated health care systems with the pharmacist as an essential component of the health care team
  • Leadership and administrative skills necessary to manage pharmaceutical care and the needs of patients
  • Public health and quality patient care by fostering the optimal and responsible use of drugs
  • Programs and services that emphasize the health needs of the public with respect to the prevention and treatment of disease
  • Knowledge and expertise in managing cost-effective drug utilization through the application of pharmacoeconomic principles
  • Strategies in the prevention of medication errors and adverse events
  • Knowledge to identify, analyze, and evaluate health care trends and development of public policy
  • Role of pharmacy in conducting and supporting drug research
  • Integration of technology with pharmacy practice in order to provide clinically focused, safe, and efficient patient care
  • Human resource management and employee engagement skills through hands-on experience

Academic Experience: The distinctive M.B.A. or M.S. programs are specifically designed for medical professionals who seek the business knowledge necessary to help them understand, analyze, and guide complex medical-delivery systems. Students in the program include physicians, pharmacists, nurses, other clinicians, senior health care administrators, and medical practice managers. Residents have the opportunity to practically apply the skills and knowledge obtained in the classroom setting directly to pharmacy practice through rotation experiences and resident projects.

Residency Rotations:

Core and Elective rotations for the PGY1 year:

  • Rotations consistent with PGY1 Pharmacy Residency requirements (see PGY1 Pharmacy website).

PGY2 Year

Required PGY 2 Rotations:

  • Asset Management and Budgeting [Lind, Nesbit]
  • Decentralized Operations in any division (AMES, Oncology, Pediatrics) [Culli, Khandoobhai, Veltri]
  • Decentralized Operations Management – Medication Use Systems and Automation [Hill]
  • Patient Care and Population Health Services [Swarthout]
  • Pharmacy Operations/Personnel Management at The Johns Hopkins Bayview Medical Center [Vazquez]
  • Quality Improvement/Regulatory Affairs [Smith]
  • Staffing and Human Resources [Culli, Khandoobhai, Veltri]
  • Strategic Planning [Nesbit]
  • Supply Chain Management [Geize]

Elective PGY2 Rotations:

  • Ambulatory and Transitions of Care [Swarthout]
  • Antimicrobial Stewardship [Dzintars]
  • ASHP Health-System Pharmacy Administration [As assigned by ASHP]
  • Central Pharmacy Operations [Stick, Valerio]
  • Contracting and Strategic Alignment – Home and Community Based Services [Thompson]
  • Education and Training and Personnel Development [Walker]
  • Health-System Supply Chain Management [Fuller]
  • Investigational Drug Service [Mighty]
  • Leadership and System Integration [Nesbit, Proctor]
  • Medication Quality and Outcomes [Shermock]
  • Medication Safety [Duncan/Rowcliffe]
  • Pharmacy Clinical Informatics [Watt]
  • Specialty Pharmacy Business Development [Canfield]

Benefits: Click Here

Full funding/support for the M.B.A. or M.S. in Health Care Management in partnership with The Johns Hopkins University Carey Business School.

Staffing: Click Here

On-Call: Click Here

Application Information:

  • Link to the application information: Click Here
  • Please read below for additional instructions for application to the HSPAL/M.B.A program:

Special Requirements for Application: Doctorate of Pharmacy degree or equivalent experience. Eligibility for licensure in Maryland. Application material should include a curriculum vitae documenting: (a) education, (b) work experience, (c) rotations, (d) community service, (e) association involvement, (f) leadership, (g) awards/honors, (h) presentations and publications, (i) letter of intent, (j) three references and your (k) College of Pharmacy transcript. Participation in the ASHP Matching program as a PGY-1 candidate. Participation in Personnel Placement Service at the Midyear Clinical Meeting is strongly recommended. Application to the M.B.A program is completed after the match. GMAT or GRE is not necessary. Minimum 3.0 GPA on a 4.0 scale.

Additional M.B.A. or M.S. program information can be found at the Johns Hopkins University: Carey Business School.

Program Director

Todd Nesbit

Todd W. Nesbit, PharmD, MBA, FASHP

Title: Vice President for Pharmacy Services, Johns Hopkins Health System and Chief Pharmacy Officer, The Johns Hopkins Hospital
Education: B.S. Pharmacy, Ohio Northern University; Pharm. D., The Ohio State University; M.B.A. Johns Hopkins University

Todd W. Nesbit graduated from The Ohio State University Doctor of Pharmacy Program in 1992 and from the Johns Hopkins University Carey Business School in 2008 with an MBA in Medical Services Management. Dr. Nesbit has worked to promote and advance the role of the pharmacist and clinical pharmacy in health-systems through positions held in various hospitals and academic medical centers. He currently serves as Chief Pharmacy Officer for The Johns Hopkins Hospital and Vice President for Pharmacy Services for Johns Hopkins Health Baltimore, Maryland. As Executive Leader for the pharmacy enterprise, he is responsible for directing hospital and health system practice and strategic planning and the implementation of system-wide pharmacy services across the continuum.

Following graduation with a Bachelor of Science degree in pharmacy from Ohio Northern University, Todd began his career in institutional practice in 1984. During his career, Dr. Nesbit has served as preceptor and mentor for numerous pharmacists, pharmacy residents, and pharmacy students. He has been active in various pharmacy organizations, and has served as the Secretary/Treasurer and as President of the Ohio chapter of the American College of Clinical Pharmacy. Dr. Nesbit was recognized as a Fellow of the American Society of Health-System Pharmacists in 2017.

Program Coordinator

Janet Lee

Janet Lee, PharmD, MPA, MBA

Title: Operations Manager, Weinberg Oncology Pharmacy, The Johns Hopkins Hospital
Education: B.A. University of Pennsylvania; M.P.A., NYU Wagner Graduate School of Public Service; Pharm.D., University of Maryland School of Pharmacy; M.B.A., Johns Hopkins Carey Business School

Janet Lee received a Bachelor of Arts degree in the Biological Basis of Behavior from the University of Pennsylvania and a Masters of Public Administration in Health Policy and Management from the New York University Wagner Graduate School of Public Service. She then obtained a Doctorate of Pharmacy from the University of Maryland School of Pharmacy. Upon completion of pharmacy school, Dr. Lee completed the PGY1/PGY2 Health-System Pharmacy Administration Residency at The Johns Hopkins Hospital while concurrently completing a Master in Business Administration from the Johns Hopkins Carey Business School.

Dr. Lee currently serves as an Operations Manager in The Johns Hopkins Hospital Weinberg Oncology Pharmacy and supports clinical programs and operations, focusing on ambulatory oncology infusion. She is an active member of the American Society of Health-System Pharmacists (ASHP) and the Maryland Society of Health-System Pharmacy (MSHP). Her professional interests include pharmacy and healthcare policy, advocacy, and student and residency training. Dr. Lee currently serves as a MSHP Board Member and on the ASHP Advocacy and PAC Committee.


Todd W. Nesbit, PharmD, MBA, FASHP
Vice President, Pharmacy Services
Johns Hopkins Health System
Chief Pharmacy Officer
The Johns Hopkins Hospital
Location: The Johns Hopkins Hospital
600 North Wolfe Street / Carnegie 180
Baltimore, MD 21287-6180
Phone: (410) 502-7648 (Direct)
Phone: (410) 955-6874 (Administrative Assistant)